A5007392585- Global Cancer Incidence and Screening
- Lung Cancer Diagnosis and Treatment
- Advances in Oncology and Radiotherapy
- Lung Cancer Treatments and Mutations
- Economic and Financial Impacts of Cancer
- Health Systems, Economic Evaluations, Quality of Life
- Primary Care and Health Outcomes
- Chronic Disease Management Strategies
- Genetic factors in colorectal cancer
- Pharmaceutical Economics and Policy
- Cancer Genomics and Diagnostics
- Biosimilars and Bioanalytical Methods
- Palliative Care and End-of-Life Issues
- Multiple and Secondary Primary Cancers
- Cancer survivorship and care
- Biomedical Ethics and Regulation
- Patient-Provider Communication in Healthcare
- Frailty in Older Adults
- Retinal and Optic Conditions
- Liver Disease Diagnosis and Treatment
- Hepatitis Viruses Studies and Epidemiology
- HIV, Drug Use, Sexual Risk
- Medication Adherence and Compliance
- Neuropeptides and Animal Physiology
- Viral Infections and Outbreaks Research
Open Health Systems Laboratory
2022-2024
University of Tennessee Health Science Center
1997-2022
Baptist Cancer Center
2016-2021
Baptist Memorial Health Care
2017-2020
University of Memphis
2017
Multidisciplinary care is rarely practiced in community healthcare settings where the majority of patients receive lung cancer US. We sought direct input from and their informal caregivers on experience delivery.We conducted focus groups patient caregiver dyads. Patients had received for or out a multidisciplinary thoracic oncology clinic coordinated by nurse navigator. Focus were audiotaped, transcribed, analyzed using Creswell's 7-step process. Recurring overlapping themes developed...
Abstract The objective of our study is to assess differences in prevalence multimorbidity by race/ethnicity. We applied the FP-growth algorithm on middle-aged and elderly cohorts stratified race/ethnicity, age, obesity level. used 2016–2017 data from Cerner HealthFacts electronic health record warehouse. identified disease combinations that are shared all races/ethnicities, those some, unique one group for each age/obesity Our findings demonstrate even after stratifying age obesity, there...
The aim of this study was to establish normative data as gestation advances for pulsed Doppler evaluation both the ophthalmic artery and central retinal artery. After measuring intraocular pressure blood pressure, ultrasonographic examination performed on arteries in eyes 125 normal pregnant women. Nomograms, with 95% prediction intervals, have been generated indices, reflecting flow arteries. use technique management pregnancy induced hypertension can now be better evaluated.
Background: Diabetic patients with multimorbidity in medically underserved minority communities are less engaged primary care and experience high emergency department (ED) utilization. This study assesses unmet needs among diabetic a area (MUA). Community Context: A suburb of Memphis—Whitehaven, Tennessee (Shelby County, ZIP codes 38109 38116)—majority African American (96.6%) 30.5% below the poverty level. Methods: case using multiple data sources including diabetes registry, individual...
Responsible for 25% of all US cancer deaths, lung presents complex care-delivery challenges. Adoption the highly recommended multidisciplinary care model suffers from a dearth good quality evidence. Leading up to prospective comparative-effectiveness study vs. serial care, we studied implementation rigorously benchmarked clinic.We used mixed-methods approach conduct patient-centered, combined and effectiveness care. We established co-located clinic this model. identified engaged key...
PURPOSE: Multidisciplinary lung cancer care is assumed to improve delivery by increasing transparency, objectivity, and shared decision making; however, there a lack of high-level evidence demonstrating its benefits, especially in community-based health systems. We used implementation team science principles establish colocated multidisciplinary clinic large system evaluated patient experience outcomes within outside this clinic. METHODS: conducted prospective frequency-matched comparative...
Abstract Objective This study explores factors associated with methamphetamine initiation based on the narratives from an online support group for users. Methods We conducted a qualitative of 202 first‐person submitted to anonymous, The were analyzed in Dedoose software using Charmaz’s adaptations Glaserian grounded theory methodology. Results Ten initiating use emerged our analysis and corresponded three constructs Theory Planned Behavior: attitude (needing energy work, wishing escape pain,...
Abstract Background: Genomic technologies have become increasingly available in oncology; however, barriers remain terms of TMB use. This study aimed to identify physicians’ adoption/use testing. Methods: A cross-sectional online survey was conducted with a representative sample U.S. general medical, surgical, and/or gynecologic oncologists, including both users and non-users Physician demographics, practice characteristics, (reimbursement, knowledge, logistics), approaches alleviate were...
While the value of individual biosimilars is evident, little known about a biosimilar portfolio beyond cost savings between and originators. Stakeholders may consider manufacturer's portfolio, especially when negotiating portfolio-based contracts or other rebate programs. However, what types value, in addition to financial benefits, decision-makers perceive regarding manufacturer with compared those without one. The objective this integrative literature review was describe conceptual...
Our multicenter, medical chart review, cost-of-illness study used a micro-costing approach to evaluate the economic burden associated with varicella in Bangkok, Thailand, from societal perspective. We reviewed charts of adults and children primary diagnosis (2014-2018) 4 hospitals Bangkok. Reported healthcare resource utilization missed school or workdays were extracted charts. Mean direct, indirect, total costs per patient estimated for overall, adult, pediatric patients (2020 USD). Of 200...
6544 Background: The MD care model is recommended to improve the quality of lung cancer care, which complex and involves multiple specialties. Physicians’ feedback on management essential for patients. Methods: We conducted focus groups with specialists (pulmonologists, surgeons, medical oncologists, radiation primary physicians, hospitalists, ER doctors) from both multidisciplinary traditional clinical settings. Grounded Theory methodology guided identification recurrent themes that emerged...
e18045 Background: MD care is a recommended strategy for improving lung cancer outcomes, but access may be skewed away from the highest risk populations. We compared demographics of patients seen within an Program to those across large healthcare system spanning five states in high US mortality zone. Methods: Lung providers were encouraged refer discussion weekly conference with or without referral co-located clinic same system. The RE-AIM evaluation framework assessed reach and...
8522 Background: MDC may improve the quality of care for complex diseases. We compared use stage-appropriate treatment lung cancer patients in a co-located to serially-referred (SC) within same healthcare system. Methods: Prospective cohort study newly-diagnosed enrolled before onset from or standard clinics (SC). Eligible pts had ECOG PS 0-2. Stage-appropriate selection was determined using National Comprehensive Cancer Network (NCCN) guidelines based on clinical stage just onset....
Orbital and choroidal blood vessels in mammals are known to receive a parasympathetic innervation from the pterygopalatine ganglion, which appears utilize vasoactive intestinal polypeptide (VIP) nitric oxide (NO) increase flow. The present studies were undertaken elucidate anatomical neurotransmitter organization of ganglion input orbital pigeons. Single- or double-label immunohistochemistry employed on paraformaldehyde-fixed cryostat sections pigeon eye surrounding tissue localize 1) VIP+...
380 Background: Despite increasing use of breast cancer (BRCA) gene and homologous recombination deficiency/ repair mutation(s) (HRD/HRRm) testing, barriers to uniform adoption these tests inform patient management remain. The purpose this study was identify potential BRCA, HRD, HRRm testing from the physician’s perspective. Methods: A cross-sectional online survey sent a US representative sample primary care providers, medical oncologists, urologists, surgeons, including both users...
e15063 Background: Despite the availability of genomic technologies to inform treatment for oncology patients, widespread adoption testing in U.S. has been challenging. Little information is available about factors that influence clinical decision making regarding use TMB testing. The purpose this study was identify barriers and preferred strategies increase from physician’s perspective. Methods: Semi-structured video-based interviews were conducted with a sample physicians (N = 11),...
Genomic technologies have become increasingly available in oncology; however, barriers remain terms of TMB use. This study aimed to identify physicians' adoption/use testing. A cross-sectional online survey was conducted with a representative sample U.S. general medical, surgical, and/or gynecologic oncologists, including both users and non-users Physician demographics, practice characteristics, (reimbursement, knowledge, logistics), approaches alleviate were collected. Quotas put place...